This provider's $3.5M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 1882% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 494% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2017 | $226.53 | $77.83 | 2.91x | $148.70 | $54.7K | 778 | 712 |
| 2018 | $347.76 | $123.00 | 2.83x | $224.76 | $324.5K | 3.2K | 2.4K |
| 2019 | $327.77 | $116.39 | 2.82x | $211.38 | $371.0K | 3.3K | 2.6K |
| 2020 | $383.51 | $141.58 | 2.71x | $241.93 | $300.1K | 2.8K | 2.3K |
| 2021 | $435.70 | $149.39 | 2.92x | $286.31 | $544.6K | 4.8K | 3.4K |
| 2022 | $588.88 | $131.45 | 4.48x | $457.43 | $810.2K | 6.7K | 3.8K |
| 2023 | $608.50 | $128.85 | 4.72x | $479.65 | $1.1M | 8.0K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1.4K | $959.5K | $705.53 | 2.66x |
| 66984 | Removal of cataract with insertion of lens | 2.7K | $910.3K | $337.79 | 4.69x |
| 67028 | Injection of drug into eye | 2.8K | $251.0K | $90.32 | 8.66x |
| 92134 | Diagnostic imaging of retina | 5.8K | $154.8K | $26.83 | 3.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.3K | $127.6K | $56.38 | 2.49x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.7K | $125.8K | $73.67 | 2.24x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.1K | $116.1K | $54.87 | 1.95x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $112.5K | $103.47 | 2.41x |
| J2778 | Injection, ranibizumab, 0.1 mg | 492 | $105.7K | $214.90 | 3.26x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 360 | $98.9K | $274.70 | 6.36x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.6K | $84.7K | $32.20 | 3.61x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 915 | $81.0K | $88.48 | 2.08x |
| 0191T | Internal insertion of eye fluid drainage device | 89 | $79.2K | $889.56 | 1.42x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 944 | $74.2K | $78.60 | 2.41x |
| 66982 | Removal of cataract with insertion of lens | 86 | $45.2K | $526.02 | 4.40x |
| J3590 | Unclassified biologics | 778 | $34.9K | $44.89 | 3.54x |
| 92083 | Measurement of field of vision during daylight conditions | 858 | $34.7K | $40.49 | 2.84x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.1K | $26.5K | $23.37 | 3.25x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 354 | $23.7K | $66.98 | 2.21x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 436 | $13.8K | $31.73 | 2.64x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ophthalmology providers in KY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Inder Singal, MD | Louisville, KY | $35.2M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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